The impact of hip fracture on health-related quality of life and activities of daily living

Purpose: The medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported hea...

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Detalhes bibliográficos
Autores: Prieto-Alhambra, Daniel|||0000-0002-3950-6346, Moral-Cuesta, D., Palmer, A., Aguado-Maestro, Ignacio|||0000-0002-2075-5019, Bardaji, Manuel Francisco Bravo, Brañas, F., Bueno, Gaspar Adrados, Caeiro Rey, José Ramón, Cano, Ignacio Andrés, Barres-Carsi, M., Delgado, Luis Gracia, Salomó-Domènech, M.|||0000-0001-7063-1906, Etxebarria-Foronda, I., Ferrer, B. L., Mills, S., Ezquerra, Laura|||0000-0002-8577-6283, Mifsut, D., Evangelista, L. D. R., Nogués Solán, Xavier|||0000-0002-5537-1859, Perez-Coto, Ivan, Martínez-Iñiguez Blasco, J., Martín-Hernández, C., Kessel, H., Teixidor Serra, Jordi|||0000-0003-1280-9088, Solis, J. R., Suau, Oscar Torregrosa, Vaquero-Cervino, E., Pablos Hernández, Carmen, Mañas, L. R., Herrera, Antonio|||0000-0001-7877-4733, Díez Pérez, Adolfo|||0000-0001-8162-0209
Formato: artículo
Fecha de publicación:2019
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:223912
Acesso em linha:https://ddd.uab.cat/record/223912
https://dx.doi.org/urn:doi:10.1007/s11657-019-0607-0
Access Level:acceso abierto
Palavra-chave:Fragility hip fracture
Osteoporosis
Registries
Quality of life
Descrição
Resumo:Purpose: The medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported health-related quality of life. Methods: Design and participants: Multicentric prospective cohort study. Consecutive sample patients with fragility hip fracture over 50 years old admitted in 48 hospitals in Spain. Outcomes: daily living activity function (Barthel Index) and health-related quality of life (EQ-5D) pre-fracture, admission to hospital and at 1- and 4-month follow-up post-fracture. Statistics: Barthel and EQ-5D over time are described as mean (SD) and median (interquartile range). Results: A total of 997 patients were recruited at baseline with 4-month outcomes available for, and 856 patients (89.5%). Barthel Index fell from 78.77 (23.75) at baseline to 43.62 (19.86) on admission to hospital with the fracture. Scores partially recovered to 54.89 (25.40) and 64.09 (21.35) at 1- and 4-month post-fracture, respectively. EQ-5D fell from a median of 0.75 (0.47-0.91) to - 0.01 (- 0.03 to 0.51) on admission. Partial recovery was observed again to (0.51 (- 0.06 to 0.67)) and (0.60 (0.10 to 0.80)) at 1- and 4-month post-fracture, respectively. Conclusions: Hip fracture results in a large decline in the ability to perform activities of daily living and patient-reported health-related quality of life with only partial recovery amongst survivors 4-month post-fracture.

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